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Blackstone and KKR to assume control of dental group Affordable Care

Reported by Privateequitywire
May 15, 2026· 3 min read
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Key Takeaways
  • • Blackstone and KKR are assuming control of Affordable Care, a US dental services provider, following a debt restructuring that will reduce the company's $1.4bn private credit facility by approximately 70%.
  • • Under the restructuring agreement, direct lenders will exchange debt positions for a mix of instruments: a $225m first-lien second-out term loan, $200m in payment-in-kind notes, full equity ownership of the reorganized entity, and participation rights in a $75m new-money facility.
  • • Existing equity and preferred shareholders, including original sponsors Harvest Partners and Berkshire Partners, will be wiped out entirely as lower-ranking creditors in the capital structure.
  • • Blackstone holds the largest senior debt exposure and has marked down its private credit investment to below 70 cents on the dollar, reflecting the company's ongoing financial stress.
  • • The restructuring reflects mounting pressure across the private credit market, where rising defaults and valuation markdowns are driving increased portfolio intervention by large asset managers.
Summary
Blackstone and KKR are poised to take operational control of Affordable Care, a struggling US dental services provider, through a comprehensive debt restructuring that addresses mounting financial distress in the company's $1.4bn private credit structure. According to Bloomberg, the agreement will reduce the company's debt burden by roughly 70%, fundamentally reshaping the capital stack and transferring ownership to the debt holders.

Under the proposed restructuring terms, lenders participating in Affordable Care's credit facility will exchange their existing positions for a combined package of instruments designed to preserve value while establishing operational control. Specifically, creditors will receive a pro-rata share of a $225m first-lien second-out term loan, $200m in payment-in-kind notes, and full ownership of the reorganized equity. Additionally, creditors are being offered participation rights in a $75m new-money facility to support the restructured operations. The deal is expected to close by the end of June 2026.

Blackstone and KKR led negotiations among the credit consortium, which also includes Antares Capital and New Mountain Capital. Blackstone holds the most substantial senior debt exposure and has marked the value of its loan position below 70 cents on the dollar in recent periods, underscoring the severity of underlying credit deterioration. The restructuring will entirely eliminate existing equity holders and preferred shareholders, including Harvest Partners and Berkshire Partners, who originally backed the company. Harvest Partners had acquired its stake in 2021 when Affordable Care was valued at approximately $2.7bn.

Affordable Care operates a dental services platform specializing in tooth replacement solutions across roughly 425 affiliated practices spanning approximately 40 US states. The restructuring exemplifies widening stress across the private credit market, where rising defaults and mark-to-market valuation declines have prompted increased scrutiny from limited partners and more aggressive portfolio intervention strategies by major asset managers. The transaction underscores the challenging credit environment and the shift toward creditor control mechanisms as a risk mitigation strategy in distressed situations.

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Sources

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AlphaMaven summarised this story from the reporting below. Each link opens the original article.

Privateequitywire Blackstone and KKR to assume control of dental group Affordable Care